The purpose of this study was to examine the presence of geriatric dentistry (GD) in the curricula of worldwide dental schools, and to identify and compare their curriculum content. Eighty-three dental schools (16.4% response rate), from 24 countries, in six continents, completed a 25-item online questionnaire, to assess their GD curriculum, and were included in the study. GD was a mandatory course in 56 dental schools (67.5%), an independent subject in 14 schools (16.9%), and was taught as a series of lectures in 31 schools (37.4%). Clinically, 56 dental schools (67.5%) had some form of mandatory education in GD. The type of school, location and method of presentation were not associated with greater interest in expanding their curriculum in GD (p = 0.256, p = 0.276, and p = 0.919, respectively, using the Chi-square test). We found GD is a curriculum requirement in most of the surveyed dental schools and is becoming more common among dental school curricula. This survey is the first study to present data from dental schools from all continents, using a web-based survey which is a resourceful, less-expensive tool to gather data.

Introduction: Periodontal disease (PD) is an inflammatory disease of the periodontal tissues. Periodontal disease is highly prevalent in adolescents, adults, and elderly, and is a major public health concern [ 1 Nazir M. Prevelence of periodontal disease, its association with systemic diseases and prevention. Int J Health Sc. 2017;2(1):72–80. [Google Scholar] , 2 Machado V , Botelho J , Amaral A , et al., Prevalence of periodontal disease in a Portuguese population. Annals of Medicine. 2017;50(sup1):S73. [Google Scholar] ]. Previous studies show a slight superior prevalence of mild forms in young adults [ 3 Botelho J , Machado V , Amaral A , et al. Association between age and chronic periodontitis in a Portuguese population. Annals of Medicine. 2018;50(Suppl 1):S70–S71. [Google Scholar] ], and a significant difference in periodontal disease type distribution by gender, with severe generalized chronic periodontitis condition being more prevalent in men [ 4 Botelho J , Machado V , Amaral A , et al. Association between overweight/obesity and chronic periodontitis in a Portuguese population. Annals of Medicine. 2018;50(Suppl 1):S69–S70. [Google Scholar] , 5 Machado V , Botelho J , Amaral A , et al. Association between gender and chronic periodontitis in a Portuguese population. Annals of Medicine. 2018;50(Suppl 1):S71–S72. [Google Scholar] ]. Moderate periodontitis is even more common, affecting 40–60% of adults [ 6 Leech M , Bartold P . The association between rheumatoid arthritis and periodontitis. Best Pract Res Clin Rheumatol. 2015;29(2):189–201. [Crossref], [PubMed], [Web of Science ®] , [Google Scholar] , 7 Sen S , Sumner R , Hardin J , et al. Periodontal Disease and Recurrent Vascular Events in Stroke/TIA Patients. J Stroke Cerebrovasc Dis. 2017;22(8):1420–1427. doi:10.1016/j.jstrokecerebrovasdis.2013.06.024 [Crossref] , [Google Scholar] ]. Over the last years, PD have been associated with arterial hypertension [ 6–8 Leech M , Bartold P . The association between rheumatoid arthritis and periodontitis. Best Pract Res Clin Rheumatol. 2015;29(2):189–201. Sen S , Sumner R , Hardin J , et al. Periodontal Disease and Recurrent Vascular Events in Stroke/TIA Patients. J Stroke Cerebrovasc Dis. 2017;22(8):1420–1427. doi:10.1016/j.jstrokecerebrovasdis.2013.06.024 Leong X , Ng C , Badiah B , et al. Association between Hypertension and Periodontitis: Possible Mechanisms. Sc Wold J 2014;768237:11. doi:10.1155/2014/768237 ]. Therefore, the aim of this study was to evaluate the possible association between the prevalence of self-reported hypertension and the periodontal status in an adult Portuguese population. Materials and methods: This study was approved by the Egas Moniz Ethical Committee (Ethical Application Ref: 595). This retrospective observational study included patients from the Periodontology Department, that were diagnosed between April 2017 and April 2018. Before clinical examinations, all patients answered a general and oral health questionnaire that included information such as age, gender, smoking status, self-reported general medical history and medication. Periodontitis was defined according to Page & Eke [ 9 Page RC , Eke PI. Case definitions for use in population-based surveillance of periodontitis. Journal of Periodontology. 2007;78:1387–1399. doi:10.1902/jop.2007.060264 [Crossref], [PubMed], [Web of Science ®] , [Google Scholar] ]. From a total of 267 patients, 7 were excluded due to incomplete data. Thus, it was gathered a final sample size of 260 patients. Descriptive and inferential statistics methodologies were applied, using IBM SPSS Statistics version 24.0 for Macintosh. Results: From the 260 patients (mean age 56.6 ± 12.4), the majority had severe chronic periodontitis (n =140, 53.8%). Patients with none or mild chronic periodontitis didn’t refer hypertension. The prevalence of self-reported hypertension was 38.61% and 36.43%, in patients with moderate and severe chronic periodontitis respectively. Overall, there was a statistical difference between the prevalence of self-reported hypertension between the severity of chronic periodontitis type (p = 0.004) (Table 1). Discussion and conclusions: The results show a statistical difference in the prevalence of self-reported hypertension according to the chronic periodontitis severity. To minimize potential bias, we tried to overcome the limitation of being a self-reported hypertension information by confirming current medication of the patient. The findings in this sample are according to the previous studies referred overhead.

A insatisfação no que diz respeito ao excesso de visibilidade gengival é comum em pacientes que procuram reabilitação oral na zona esté...

ResumoA técnica de tunelização, combinada com enxerto de tecido conjuntivo, tem sido descrita como uma opção vantajosa no tratamento de recessões gengivais classe I e II de Miller moderadas. O presente artigo descreve o caso clínico de uma paciente de 22 anos, do sexo feminino, referenciada para tratamento de recessões gengivais múltiplas. Após avaliação clínica e radiográfica, constatou‐se a presença de recessões gengivais classe I de Miller nos dentes 2.1, 2.2 e 2.3, tendo‐se decidido proceder ao recobrimento radicular destes dentes, recorrendo a esta técnica. Após um ano, observa‐se recobrimento radicular completo, ausência de hemorragia à sondagem, profundidade de sondagem inferior a 3mm e perfeita integração estética com os tecidos adjacentes. Esta técnica apresenta resultados bastante previsíveis quando indicada e corretamente executada, permitindo obter resultados estéticos.AbstractThe tunnel technique with connective tissue graft has been described as a favorable option for treatment of Miller Class I and II defects. This article describes the case of a 22 year‐old female patient referred for treatment of multiple gingival recessions. Clinical and radiographic examination revealed Miller Class I gingival recession of the teeth 2.1, 2.2 and 2.3; thus the tunnel technique with connective tissue graft was proposed to provide root coverage. A year after the surgical procedure, there was total root coverage, no bleeding on probing, probing depht under 3mm e nice aesthetic integration. This technique provides a predictable surgical result when recommended and correctly executed, offering an aesthetic outcome

Objetivos: A cárie dentária é a causa mais comum da exodontia dos primeiros molares definitivos, sendo o primeiro molar inferior o mais afectado...